Individual
DIANE SALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E 50TH ST, CHICAGO, IL 60615-2908
(773) 450-6220
Mailing address
1207 E 50TH ST, CHICAGO, IL 60615-2908
(773) 450-6220
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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